2018 OUTER CAPE HEALTH SERVICES, INC. Health Center Program Awardee Data

WELLFLEET, MASSACHUSETTS

3-year project period; end date 1/31/2021

Service Area Map

Total Patients: 16,351

 Advancing Health Information Technology (HIT) for Quality PCMH Recognition as of Tuesday, March 31, 2020

UDS Data Comparisons

Expand the tables below to view UDS data comparisons from 2016 to 2018

  2016 2017 2018
Total Patients 16,799 16,687 16,351
Age (% of total patients)
Percentage of Children (< 18 years old) 13.48% 12.57% 11.91%
Number of Children (< 18 years old) 2,265 2,097 1,948
Percentage of Adults (18 to 64) 62.77% 61.17% 58.82%
Number of Adults (18 to 64) 10,545 10,207 9,618
Percentage of Older Adults (Age 65 and over) 23.75% 26.27% 29.26%
Number of Older Adults (Age 65 and over) 3,989 4,383 4,785
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 12.50% 12.70% 12.96%
Number of Racial and/or Ethnic Minority Patients 1,935 1,931 1,963
Percentage of Hispanic/Latino Ethnicity Patients 3.18% 3.41% 3.45%
Number of Hispanic/Latino Ethnicity Patients 503 527 528
Percentage of Non-Hispanic White Patients 88.21% 88.09% 87.89%
Number of Non-Hispanic White Patients 13,543 13,277 13,185
Percentage of Asian Patients 1 1.07% 1.04% 1.12%
Number of Asian Patients1 164 156 168
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 0.17% 0.31% 0.40%
Number of Native Hawaiian/Other Pacific Islander Patients 1 26 46 60
Percentage of Black/African American Patients1 5.42% 5.43% 5.60%
Number of Black/African American1 832 818 840
Percentage of American Indian/Alaska Native Patients 1 0.14% 0.26% 0.22%
Number of American Indian/Alaska Native Patients1 22 39 33
Percentage of Patients with More than one race 1 3.32% 2.99% 2.95%
Number of Patients with More than one race 1 510 450 443
Total Patients with Known Race Ethnicity (Denominator) 15,354 15,072 15,002
Total Racial and/or Ethnic Minority Patients (Denominator) 15,478 15,208 15,148
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 15,793 15,447 15,297
Language (% known)
Percentage of Patients Best Served in a Language Other Than English 5.49% 3.37% 2.22%
Number of Patients Best Served in a Language Other Than English 923 563 363
  2016 2017 2018
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 5,954 3,055 2,548
Percentage of Patients at or below 200% of Federal Poverty Guideline 66.14% 65.89% 63.85%
Number of Patients at or below 200% of Poverty 3,938 2,013 1,627
Percentage of Patients at or below 100% of Poverty 37.96% 30.83% 29.08%
Number of Patients at or below 100% of Poverty 2,260 942 741
Insurance Status (% of total patients)
Percentage of Uninsured Patients 9.35% 7.82% 6.46%
Number of Uninsured Patients 1,570 1,305 1,056
Percentage of Children Uninsured (age 0-17 years) 3.84% 5.44% 4.93%
Number of Children Uninsured (age 0-17 years) 87 114 96
Percentage of Medicaid/CHIP Patients2 20.11% 19.66% 20.19%
Number of Medicaid/CHIP Patients 2 3,378 3,281 3,301
Percentage of Medicare Patients 23.68% 25.82% 28.16%
Number of Medicare Patients 3,978 4,309 4,604
Percentage of Dually Eligible (Medicare and Medicaid) Patients 3.50% 3.43% 3.53%
Number of Dually Eligible (Medicare and Medicaid) Patients (included in above) 588 572 577
Percentage of Patients with Other Third Party Payer 46.87% 46.70% 45.20%
Number of Patients with Other Third Party Payer 7,873 7,792 7,390
Total Insurance Source Patients (Denominator) 16,799 16,687 16,351
Total Insurance Source Patients Aged 0 - 17 (Denominator) 2,265 2,097 1,948
Special Populations
Percentage of Homeless Patients 0.54% 0.56% 0.51%
Number of Homeless Patients 91 93 84
Percentage of Agricultural Worker Patients 0.88% 0.83% 0.16%
Number of Agricultural Worker Patients 148 138 26
Percentage of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 0.00% 0.00% 0.00%
Number of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 0 0 0
Percentage of School-Based Health Center Patients 0.00% 0.00% 0.00%
Number of School-Based Health Center Patients 0 0 0
Percentage of Veterans Patients 2.68% 3.03% 3.46%
Number of Veteran Patients 450 505 565
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 30.74% 29.47% 28.20%
Number of Female Patients (ages 15-44) 2,751 2,590 2,413
Percentage of Patients Under 15 Who are Female 10.11% 9.52% 8.95%
Number of Patients Under 15 Who are Female 905 837 766
Percentage of Patients 15-64 Who are Female 64.09% 62.61% 59.85%
Number of Patients 15-64 Who are Female 5,736 5,503 5,121
Percentage of Patients 65 and Over Who are Female 25.80% 27.86% 31.19%
Number of Patients 65 and Over Who are Female 2,309 2,449 2,669
Total Female Patients (Denominator) 8,950 8,789 8,556
Services (% of patients) 2016 2017 2018
Percentage of Medical Patients 93.91% 96.82% 96.62%
Number of Medical Patients 15,776 16,156 15,798
Percentage of Dental Patients 8.99% 10.79% 9.60%
Number of Dental Patients 1,511 1,801 1,569
Percentage of Mental Health Patients 6.10% 6.71% 8.15%
Number of Mental Health Patients 1,025 1,119 1,333
Percentage of Substance Use Disorder Patients - - 0.00%
Number of Substance Use Disorder Patients - - 0
Percentage of Vision Patients 7.14% 7.13% 7.64%
Number of Vision Patients 1,199 1,190 1,249
Percentage of Enabling Patients - - 0.00%
Number of Enabling Services Patients - - 0
Total Patients (Denominator) 16,799 16,687 16,351
  2016 2017 201811
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients3 26.30% 24.76% 24.11%
Number of Hypertension Patients3 3,471 3,379 3,235
Percentage of Diabetes Patients4 5.75% 6.01% 5.86%
Number of Diabetes Patients4 703 756 716
Percentage of Asthma Patients 5.27% 5.24% 5.02%
Number of Asthma Patients 831 847 793
Percentage of Symptomatic/Asymptomatic HIV Patients 2.40% 2.33% 2.25%
Number of Symptomatic/Asymptomatic HIV Patients 379 377 356
Prenatal
Number of Prenatal Patients 73 72 68
Number of Prenatal Patients who Delivered 66 47 40
  2016 2017 2018 Adjusted Quartile Ranking 5
2017 2018
Quality of Care Measures
Perinatal Health
Percentage of Prenatal Patients with Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 90.41% 86.11% 58.82% - 4
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 66 62 40 - -
Percentage of Newborns with Low and Very Low Birth Weight 3.03% 6.38% 2.50% - 1
Number of Newborns with Low Birth Weight 2 3 1 - -
Preventive Health Screening & Services
Percentage of Patients Screened for Cervical Cancer7 51.85% 54.29% 22.39% - 4
Number of Patients Screened for Cervical Cancer7 2,476 2,566 889 - -
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity 54.29% 52.86% 25.97% - 4
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 981 833 316 - -
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 48.57% 45.71% 30.78% - 4
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 6,784 6,544 3,973 - -
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling8 87.14% 94.29% 82.72% - 3
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling8 12,285 9,622 7,630 - -
Percentage of Patients Screened for Colorectal Cancer9 44.56% 44.33% 50.75% - 2
Number of Patients Screened for Colorectal Cancer9 3,250 3,343 3,474 - -
Percentage of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 6 21.43% 30.53% 29.06% - 2
Number of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 6 20 29 34 - -
Percentage of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 54.29% 47.14% 48.96% - 4
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 10 7,033 5,800 5,492 - -
Percentage of Children 6 through 9 Years of Age at Moderate to High Risk of Caries Who Received a Sealant on a First Permanent Molar 41.67% 22.22% 100.00% - -
Number of Children 6 through 9 Years of Age at Moderate to High Risk of Caries Who Received a Sealant on a First Permanent Molar 5 8 12 - -
Chronic Disease Management
Percentage of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 100.00% 100.00% 91.76% - 2
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 126 90 156 - -
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 84.29% 88.57% 88.05% - 1
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 390 417 221 - -
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 90.00% 81.43% 86.02% - 2
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 492 449 406 - -
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg)12 65.71% 66.29% 58.64% - 4
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 12 2,281 2,240 1,897 - -
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year13 30.00% 25.13% 30.31% - 3
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 13 211 190 217 - -
Percentage of Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 100.00% 100.00% 100.00% - -
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 3 2 1 - -
  2016 2017 2018
Cost Data
Health Center Service Grant Expenditures $1,757,602 $1,858,918 $1,877,679
Total Accrued Costs (Excluding Donations) $21,944,099 $21,168,618 $22,218,460
Total Accrued Cost per Total Patient $1,306.27 $1,268.57 $1,358.84
Program Conditions 14

There are no conditions for this grantee

Footnotes

'-' - Data cannot be calculated or has been suppressed for confidentiality purposes.

  1. Includes Hispanic/Latino and Non-Hispanic/Latino.
  2. Includes Medicaid, Medicaid CHIP, and Other Public Insurance CHIP.
  3. Hypertensive adults as a percent of estimated adult medical patients of ages 18-85.
  4. Diabetic adults as a percent of estimated adult medical patients of ages 18-75.
  5. Adjusted Quartile Rankings: Provides a health center's adjusted quartile ranking compared to health centers nationally for each of the clinical performance measures. Clinical performance for each measure is ranked from quartile 1 (highest 25% of reporting health center) to quartile 4 (lowest 25% of reporting health centers). Adjusted quartile ranking is not calculated when there are fewer than 30 patients in the universe count. To learn more about the Health Center Adjusted Quartile Ranking please refer to https://bphc.hrsa.gov/datareporting/reporting/ranking.html and for FAQ's please refer to https://bphc.hrsa.gov/datareporting/reporting/rankingfaq.html.
  6. Childhood Immunization Status: For detailed information on this measure please see: https://ecqi.healthit.gov/ecqm/measures/cms117v6
  7. Cervical Cancer Screening: Change to exclusion criteria: Exclude patients who were in hospice care during the measurement period. Please see: https://ecqi.healthit.gov/ecqm/measures/cms124v6
  8. Tobacco Use: Screening and Cessation Intervention: This measure had several updates in guidance and specification, including reporting on three populations. Please see: https://ecqi.healthit.gov/ecqm/measures/cms138v6
  9. Colorectal Cancer Screening: Change to the denominator exclusion in 2018 may affect 2016-2018 trends: Exclude patients who were in hospice care during the measurement year. Change in Numerator: Patients with one or more screenings for colorectal cancer. Appropriate screenings are defined by any one of the following criteria: FIT-DNA during the measurement period or the two years prior to the measurement period; CT Colonography during the measurement period or the four years prior to the measurement period. Please see: https://ecqi.healthit.gov/ecqm/measures/cms130v6
  10. Screening for Depression and Follow Up Plan: Please see: https://ecqi.healthit.gov/ecqm/ep/2018/cms002v7
  11. Use of Appropriate Medications for Asthma—this measure is no longer updated and has been removed from CMS programs: Please see: https://www.federalregister.gov/documents/2016/11/04/2016-25240/medicare-program-merit-based-incentive-payment-system-mips-and-alternative-payment-model-apm
  12. Controlling High Blood Pressure: Change to the denominator exclusion in 2018 may affect 2016-2018 trends: Exclude patients who were in hospice care during the measurement year. Please see: https://ecqi.healthit.gov/ecqm/measures/cms122v6
  13. Diabetes: Hemoglobin A1c Poor Control: Change to the denominator exclusion in 2018 may affect 2016-2018 trends: Exclude patients who were in hospice care during the measurement year. Please see: https://ecqi.healthit.gov/ecqm/measures/cms122v6
  14. Program conditions are based on non-compliance with Health Center Program requirements and are updated daily. The Health Center Progressive Action Conditions Library is available at https://bphc.hrsa.gov/programrequirements/conditions-library.html.  To learn more about the Health Center Program requirements, please visit https://bphc.hrsa.gov/programrequirements/compliancemanual/index.html

*Note: Health center profile data are aggregated to the health center parent organizational level, which may be comprised of multiple service delivery sites.

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